Lyle G Wallace
Lyle G Wallace is a School Social Worker in West Orange, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
36 Walker RdWest Orange, NJ 07052-4403
Phone: (973) 715-5591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Social Worker (primary) | Taxonomy 1041S0200X · Licence 44SL04765500 (NJ) |
|---|
Record details
| NPI number | 1992444954 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2022 |
| Last updated in NPPES | May 29, 2022 |
| Certification date | May 29, 2022 |